Organization
SLEEP MEDICINE ASSOCIATES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY MICHAEL BROWN DO (PHYSICIAN/OWNER)
(618) 993-0086
Entity
Organization
Contact information
Practice address
8305 EXPRESS DRIVE, SUITE C, MARION, IL 62959
(618) 993-0086
(618) 993-0088
Mailing address
PO BOX 1433, MURPHYSBORO, IL 62966
(618) 993-0086
(608) 993-0088
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109663
—
IL
05
—
0723320
—
KY
01
—
088817
HEALTH ALLIANCE
IL
01
—
208084
MEDICARE- GROUP NUMBER
IL
01
—
3932015
BLUECROSS BLUESHIELD OF ILLINOIS
IL
01
—
660328
HEALTHLINK
IL
01
—
DF5180
RAILROAD MEDICARE- GROUP
IL
01
—
P00118900
RAILROAD MEDICARE- PIN
IL
Enumeration date
02/08/2007
Last updated
04/04/2019
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